BNA Document & Research Services
Health Care Fraud Settlements for 2004.

This collection contains health care-related fraud settlements between states and/or the federal government and private companies that generally result from complaints filed under the False Claims Act. Many of the settlements are accompanied by Corporate Integrity Agreements (CIA). Some settlements have the compliance terms included within their text. In some cases PLUS does have original or amended complaints. The cost for each settlement with any available CIA, if requested, is $27 plus shipping, handling and any applicable state tax.

PartiesCourtAmount
Fraud/TopicDateCIA? 

U.S. ex rel. Devage v. HealthSouth Corp. W.D. Tex. $325 mill. Add to Cart
Fraud. physical therapy claims 12/30/04 Y

U.S. v. Warsaw Healthcare Center E.D. Va. $149,000 Add to Cart
Failure to meet standards of care 12/28//04 N

U.S. v. Baptist Med. Cntr, HCA and Community Hlth $1.5 mill. Add to Cart
Anti-kickback violations 12/20/04 N

U.S. v. Baptist Med. Cntr, HCA and Community Hlth $1.5 mill. Add to Cart
Anti-kickback violations 12/20/04 N

U.S. ex rel. Fedor v. United HealthCare Ins. Co. M.D. Pa. $3.5 mill. Add to Cart
Medicare fraud 12/7/04 N

U.S. v. Gambro HealthCare E.D. Mo. $350 mill. Add to Cart
Medicare/Medicaid fraud 12/2/04 Y

U.S. ex rel. Steeley v. Hunt Memorial Hosp. District for Presbyterian Hosp. Greenville M.D. Tenn. $406,718. Add to Cart
Pneumonia upcoding 11/12/04 Y

U.S. ex rels. Ben-Barrack,Schultz & Clark v. Poly Medica Corp(Liberty Med.) S.D. Fla. $35 mill. Add to Cart
Medicare fraud 11/3/04 Y

State of Maine v. Omnicare Pharmacy $1.1 mill. Add to Cart
Patient drug switching 8/24/04 N

U.S. ex rel. Klimasewiski v. UnitedHealth Group and Travelers Insurance Grp. S.D.N.Y. $20.6 mill. Add to Cart
Medicare billing 8/9/04 N

U.S. ex rel. Alcorn v. Schering-Plough Corp(Liberty Med.) E.D.Pa $345.5 mill. Add to Cart
Overcharges for Claritin 7/14/04 Y

U.S. v. Harvard U. & Beth Israel Deaconness Med. C. D. Mass. $2.4 mill. Add to Cart
Misuse of grant $ 6/17/04 N

U.S. ex rel. Steeley v. Community Medical Center M.D. Tenn. $516,974 Add to Cart
Pneumonia upcoding 6/10/04 Y

U.S. ex rel. Altman v. Wal-Mart D.S.C. $2.8 mill. Add to Cart
Prescription billing 6/04 Y

U.S. ex rel. Evans v. Banner Health Systems D. Wyo. $6.1 mill. Add to Cart
Medicate billing 6/04 N

U.S. ex rel. Suzan Walker v. Radiology Reg. Cntr. M.D. Fla. $2.5 mill. Add to Cart
Medicare billing 6/04 Y

U.S. ex rel. Friedman v. Rite Aid Corp. E.D. Pa. $7 mill. Add to Cart
Prescription billing 6/04 Y

U.S. ex rel. Franklin v. Parke-Davis (Warner-Lambert/Pfizer) D. Mass. $430 mill. Add to Cart
Illegal off-label marketing 5/13/04 Y

U.S. ex rel. Erickson v. U. of Wash. Physicians W.D. Wash. $35 mill. Add to Cart
Health care billing fraud 4/30/04 Y

U.S. v. HealthNow New York Inc. $2.6 mill. Add to Cart
Inappropriate charges to Medicare 4/23/04 N

Texas ex rel. Ven-a-Care of the Florida Keys v. Warrick Pharmaceuticals (Schering-Plough Corp.) (U.S. included in settlement) Tx. Dist. Ct. $27 mill. Add to Cart
Medicaid billing (asthma drugs) 4/20/04 N

U.S v. Beverly HealthCare E.D. Va. $17,000 Add to Cart
Inadequate care & facilities 4/1/04 N

U.S. v. Valdez S.D. Cal. $250,000 Add to Cart
Power wheelchair fraud 3/29/04 N

U.S. ex rel. Climaco v. Montefiore Med. Cntr. S.D.N.Y. $12 mill. Add to Cart
Medicare billing 3/11/04 N

U.S. ex rel. Spear v. Quest Diagnostics Inc. D.N.J. $11.35 mill. Add to Cart
Medicare billing 3/3/04 N

U.S. ex rel. Flanagan v. Baptist Health System N.D. Ala. $1.3 mill. Add to Cart
Medicare billing 3/2/04 N

U.S. v. Steven Goldberg E.D. Mo. $125,000 Add to Cart
Medicare billing 3/04 N

U.S. ex rel. Barbera v. Tenet Healthcare Corp. S.D. Fla. $22.5 mill. Add to Cart
Medicare billing 3/04 Y

U.S. ex rel. Grau v. Johns Hopkins Univ. D. Md. $2.6 mill. Add to Cart
Research grant fraud 2/26/04 N

U.S. ex rel. Health Out-Comes Technologies v. Rhode Island Hospital D. R.I. $625,000 Add to Cart
Medicare coding 2/17/04 N

U.S. v. Natl. Mentor Healthcare D.N.M. $1.17 mill. Add to Cart
Medicare overbilling 2/6/04 N

U.S. v. Manor Care Health Services E.D. Va. $151,000 plus improvements Add to Cart
Inadequate care 2/5/04 N

U.S. ex rel. Lopez v. Coast Plaza Drs. Hosp. C.D. Cal. $4.1 mill. Add to Cart
Medicare billing 2/2/04 Y

U.S. ex rel. Health Out-Comes Technologies v. St. Vincent's Med. Cntr. D. R.I. $1.65 mill. Add to Cart
Medicare coding 1/04 N


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